The teacher was willing to communicate, and Xie Wanying said frankly: "I feel like she has an infection."
"It must be an infection that causes peritonitis and fever."
"Teacher Sun, I mean, maybe it came from a pelvic infection."
"Oh——" Sun Yubo suddenly said, pointing his finger at the student's head: smart!
The nurse shouted at the end of the corridor: "Emergency patients are here, Doctor Sun!"
The sound of wheels rolling came in from the door of the ward, and the people from the emergency department pushed the lathe all the way to the treatment room of the department where the temporary extra bed was located.
He is an obese patient, a middle-aged man, and he may not be able to move very well, so he needs several people to lift him up.
The emergency nurse who escorted the patient to the ward handed Xie Wanying the medical record, turned around and left. The emergency department below was busy.
After getting the emergency medical record and opening it, Xie Wanying quickly browsed through the emergency records and focused on the key points.
There was no ECG monitor anymore, so the nurse measured the patient's blood pressure manually. After the measurement, she found that the blood pressure was high. The systolic blood pressure was almost 156, and the diastolic blood pressure was almost 80. This patient did not seem to be the same as the patient with severe bleeding who was admitted to the surgical gastrointestinal emergency department.
Too same.
Sun Yubo hung up a stethoscope to listen to the patient's heart and lungs, then turned around and asked the student: "What condition did the emergency department say he was in?"
"Constipation, pain in the chest. It turned out that the emergency room suspected a myocardial infarction, and the electrocardiogram showed no obvious myocardial infarction. They may have something to do with Director Shen, so Director Shen called to collect them." Xie Wanying grabbed the teacher who was reading the medical records and made a report.
Two people work together quickly.
The patient's family accompanied the patient up and introduced themselves: "I am his sister. His wife and children are not here, but at home. I came here to do some business, but suddenly fell ill and called me. I happen to know Director Shen."
, asked Director Shen what he should do in this situation. Director Shen said that he should be admitted to the hospital first to check the situation. He said that he had been constipated for several days after all."
"High blood pressure?" Sun Yubo asked, thinking of the things the leader asked to pay attention to on the phone.
"It's 156,80 now." The nurse is here, reporting the blood pressure value.
There is no monitor. Sun Yubo is scratching his head to remove the monitor for this patient. The biggest problem is that many tests have not been done. At least it is necessary to determine the approximate cause of the pain. Is it not a heart, is it a stomach disease or something?
Is it an esophageal disease? An emergency CT scan should give a clearer direction.
Perhaps the emergency department is too busy to arrange for the patient to undergo an examination, or perhaps it is believed that the patient's focus is high blood pressure and there is no need to do a CT scan right away. You need to ask the patient's family: "Has he had high blood pressure before?"
"No, I haven't heard him say that he has high blood pressure. I find it strange. The doctor below said that it is normal for him to have high blood pressure because he is so fat. Maybe he doesn't check his blood pressure on weekdays, so he doesn't know." The patient's sister said,
"I want to say that I am also fat, but I don't have high blood pressure. I have measured my blood pressure. Director Shen said that not all fat people will have high blood pressure."
Obesity does not necessarily lead to high blood pressure, which is the same reason that thin people will not have high blood pressure. Hypertension can be roughly divided into two types according to its causes. If it is simple high blood pressure without other diseases, it is called essential hypertension. If it is caused by other diseases, it is called essential hypertension.
The resulting high blood pressure is called secondary hypertension.
It is very important for doctors to identify the cause of high blood pressure in patients.